About Lake Village Nursing and Rehabilitation Center
Lake Village Nursing And Rehabilitation Center, located in LEWISVILLE, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Lake Village Nursing and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours N/A
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the THE ENSIGN GROUP network. This chain operates 338 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 3 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 48 | Mar 06, 2025 |
| Weighted Average | 83 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 26.5% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 3.3% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 21.9% |
| Percentage of long-stay residents who lose too much weight (QM404) | 1.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.2% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.0% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 99.2% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 97.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.3% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 21.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.8% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 95.1% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.0% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 15.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 9.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 12 complaints
- 2025: 9 complaints
- 2026: 2 complaints
- Total: 23 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Oct 15, 2025 | Provide and implement an infection prevention and control program. |
| Oct 15, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Apr 04, 2025 | Provide and implement an infection prevention and control program. |
| Apr 04, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. |
| Apr 04, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Apr 04, 2025 | Provide safe and appropriate respiratory care for a resident when needed. |
| Apr 04, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Apr 04, 2025 | Keep residents' personal and medical records private and confidential. |
| Apr 04, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Dec 31, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| Dec 31, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Feb 28, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. |
| Feb 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Feb 28, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 28, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Feb 28, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Feb 28, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Feb 28, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Feb 28, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Feb 28, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Feb 28, 2024 | Provide and implement an infection prevention and control program. |
| Jun 21, 2026 | Reasonably accommodate the needs and preferences of each resident. |
| Jun 21, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
Nearby Hospitals
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WHITE ROCK MEDICAL CENTER
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MEDICAL CITY DALLAS HOSPITAL
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BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO
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MEDICAL CITY PLANO
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MEDICAL CENTER OF MCKINNEY
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DALLAS REGIONAL MEDICAL CENTER
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METHODIST DALLAS MEDICAL CENTER
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MEDICAL CITY LEWISVILLE
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PARKLAND HEALTH & HOSPITAL SYSTEM
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BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
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MEDICAL CITY DENTON
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TEXAS HEALTH HARRIS METHODIST FORT WORTH
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Owner & Operator Information
Business Entity
EASTLAND MEMORIAL HOSPITAL DISTRICT
Ownership Structure
- EASTLAND MEMORIAL HOSPITAL DISTRICT Direct: 100%
Management & Direction
- SOON BURNAM CORPORATE OFFICER
- CARETRUST GP LLC ADP OF THE SNF
- CARETRUST REIT INC ADP OF THE SNF
- CTR PARTNERSHIP LP ADP OF THE SNF
- ENSIGN SERVICES INC ADP OF THE SNF
- GRAND VILLA PHX INC. OPERATIONAL/MANAGERIAL CONTROL
- GRAND VILLA PHX INC. ADP OF THE SNF
- MIGUEL HERNANDEZ MANAGING CONTROL - GOVERNING BODY
- MIGUEL HERNANDEZ ADP OF THE SNF
- MIGUEL HERNANDEZ OPERATIONAL/MANAGERIAL CONTROL
- CHAD KEETCH CORPORATE OFFICER
- ALLEN MALL ADP OF THE SNF
- ALLEN MALL OPERATIONAL/MANAGERIAL CONTROL
- ALLEN MALL MANAGING CONTROL - GOVERNING BODY
- STEPHEN TAYLOR CORPORATE OFFICER
- VERDE VILLA HOLDINGS LLC ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| North Park Health and Rehabilitation Center | N/A | 3 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Trinity Terrace | N/A | 5 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
| Traymore Nursing Center | N/A | 4 |
| Ventana By Buckner | N/A | 5 |
Related Analysis
Best Nursing Homes in LEWISVILLE, TX
Compare Lake Village Nursing and Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Lake Village Nursing and Rehabilitation Center directly at 9724367571. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.